| NPI | 1912153032 |
|---|---|
| Former Name | JOANNE DUBICKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 005233) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT E39723) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2013-03-01 |